PDF(Pubmed)
Abstract：
Pylephlebitis, a septic thrombophlebitis of the portal vein, is an uncommon but serious complication following an abdominal site of infection, most frequently diverticulitis or appendicitis. It has a high mortality rate, yet it commonly presents with unspecific abdominal complaints and fever, making diagnosis by clinical and laboratory examinations alone, impossible. This report highlights the extensive computed tomography (CT) findings of pylephlebitis with multiple hepatic abscesses thought to be secondary to diverticulitis, in a patient presenting with septic shock. Radiological characteristics differentiating the liver lesions from malignancy, and showing the ascending pathway of vascular involvement from the inferior mesenteric vein to portal veins is presented, as well as the search for the primary site of infection. Recognizing and understanding the imaging findings in pylephlebitis is crucial for diagnosis and avoiding delay of appropriate treatment for this otherwise often fatal condition.
摘要：
静脉炎,门静脉化脓性血栓性静脉炎,是腹部感染后一种罕见但严重的并发症，最常见的是憩室炎或阑尾炎。它的死亡率很高，但它通常表现为非特异性腹部不适和发烧，仅通过临床和实验室检查进行诊断，不可能。本报告重点介绍了广泛的计算机断层扫描（CT）发现的肾静脉炎伴多发性肝脓肿，被认为是继发于憩室炎。出现感染性休克的患者。区分肝脏病变和恶性肿瘤的放射学特征，并显示了从肠系膜下静脉到门静脉的血管受累的上升途径，以及寻找感染的主要部位。认识和理解肾静脉炎的影像学表现对于诊断和避免延误这种通常致命的疾病的适当治疗至关重要。
